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HomeMy WebLinkAbout2331DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.10 -2 -53 BOX 20 T L IN IN f r ;{ IN b4 -r 02331 CAADU oat APP "No ReY, 16? R Dal In ity pepartrissimit,,of Mealth complat 0". thereof a "'Con and that an ' ' , a wr- " t W1 wkrnl!t 0 164&Aff�nt; arid�" Itten"quaran " w a liting coniiii",miniy 'Part .of sa -"We" diiPpsil-j t a "&I- , of the . Certificate . _. of Con%triiCti0frC0MpIi&,i.k0., se loeateA as n an the ailfroveli-plo-n and tl�jj ".%vaii-w will be-,In it sign ROVED FOR CONSTRUCT-ION. This SPPF04SI GXI)iifilii" Y"= w _c"Wd citi4for. � syba'arr""._o rn;dif Jed �vhiti on W. Fla Wei' a' :F:X. M I r A ",ad for diso4swl of do.iwgrii .BY- of. 6onstiuctiori — imilifectiry"i'd. 64! Cornniiiii0ne"r, of k6afth will hehis Ir' * 'ig-' * - b ' "owner;, - succesepts. he _ s or, ass, ns by the u murinj4he Period of 640 (2) y6irlllm�44111111t�ely f0IIV%W1f1g.tftGdatG:df'tha Issu- *i9inal -system Or any relialre therefo; 2) that the drilled' cr .well desilbid above inlaccofda7e with. the still r 11 rel;%&Mns� of - the Outfillf" P.E. f RA. -License of, the -.building has been undertaken and is Any change or-alteration of construction i by K . Y �1 Y � e 1 0 �.ry t 1 rt �✓ ���yC� y�✓�i� f;: '� =..,�f +J ���/ 1,�5 Ta iy��iJ�ya S 4` i i by K . Y �1 Y � e 0 �.ry t 1 rt i by K . Y �1 Y � L Or Ll L Or a'=oi ::rao,J is -o" 3 f ' } i 1 JI 1 � _ II r t 1 . Da t.. -- e�J 4r AaO�7 fog Da t.. -- e�J 4r AaO�7 fog 7 � r s: - �. q } lump low f 0", � q f ap a xf d MIN N �q 1 Cl � N Q " n i 3 iN N N V QN V1 i 0 4� y , sin (V k H 6 V 0 �a 3= v� Y wl_ v • , r r .ti. .. — ...._: .LaLV'._'T9u± -�r6Y .. -P :. _ + . .. - `. _ ._.- .. ..._. .n ._ . �i:� 4C!+. _ . .. - r • III o • ,��dim L .f I� �! � li li II i. I=LO4M AREA el Was'ae- -SECONI? !S-rogy EL_00K--PI_p,,N -4e— PC I is it ZT- 00 and/0, Z4406C. C.MPN. h'' no NSFORT. A!V S t seat dso Ws diazoO w omir-iono, comm mom y:_ F2_ I NEW YORK S,. TE IVISIO OF HOUSING AND CON &I N I T Y RE E W AlL: THIS PLAN APPROVAL I THOSE COUPCHEN TS 01 i API I THE ICI BLE 64, FACTURED HOME T4AT A I IE A: AC� �Ry 'To , EMBLED A 4D IN- STALLED AT THE FACTO FACILITY. lY N WFACTUR ER'S -4e— PC I is it ZT- 00 and/0, Z4406C. C.MPN. h'' no NSFORT. A!V S t A i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - IZW. Date JO/ Re: Property of I'3.-F Al Located at .0 (T) e O'...VY AI&YSection Block 2- Lot Subdivision of A?C'W)-/.-qS 4y-�20'ly Subdv. Lot # Filed Map # Date Gentlemen: 17 This letter is to authorize a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County- Department of Health, and to sign all necessary papers on my behalf in connection with this matter -and to supervise the construction of said st-ems 'err---conf--ormi7ty--wktl-r-the *--prcF,v-isi:orrs,--of'-,Ai-t,t-c'I -ducation Law, the Public Health Law, and the Putnam County Sani try Code. CJ CN Very truly yours, A - Signed_,,,,Z,,4 1,11m�h C ounters ignei: 'er operty A P.E. /P/.A. Address 1v Telephone A. ;ess t,om Town 5 R �/ 6976 Telephone �9s -9� JUL -11 -96 THU 7:35 *� P. e3 Y _.BRUCE. aR__FOLEEY. -R.S - Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Ceneva Road, Brewster, New York 10509 (914) 278 -6130 t PROPOSED ADDITION APPLICATION Y RESIDENTIAL ONLY) STREET : �. S �C.t t5 R_ TOWN_& Ct TX MAP # NAME. JbCIS i� �2 0101 PHONE q14 528 %`'J PCrID PERMIT # 1 7 A, MAILING ADDRESS fl us �UT�i 1 /.��T tvy �CS�9 Description of Addition Number of existing bedrooms _ Proposed number of bedrooms from Certificate of Occupancy or Certification from Building Inspector Any addition which is.considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architec, in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to PUTNAM COUNTY HEALTH DEPARTMENT, 4 GENEVA P,OAD,- BREWSTER, NY 10509, Phone 278 -6130 with the following- information. 1. Certified Check -for $100.00. 2. Sketch of existing floor plan (all living area including basemen-L', �4 any; Non - professional drawing is acceptable. 3. Sketch of proposed floor plan. Non .0e- 6fess.ional.<drawing. i.s_acc�pt.abLa_,' 4, Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. 5. Copy of Certificate of Occupancy from Town or Certification from Building Department of legal bedroom count of dwelling. OFFICE USE a Commen s and /or conditiorl s, llmnlni� i'.lnSif��r� SI'rr� 14 bPht()f?n, Onr� I.(��Il,� a application August 1995 April 1996 (Revised) k Revs 3 8 PUTNAM COUNTY DEPARTMENT OF HEALTH �} Divislon of En nmental Heelt6 Services, Carmel, lV Y 10512 ,- r� x P CH D Permit q CER ATE OF CONSTRUCTION.;COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM PuTrJAM VsLL�ti' Tau Map 15 T':Block' rrJ Lot Owner /applicant Nameta ��° I r`►�'° r`1T1►J b Formerly Subdivision Name Psalm t6 abdv. _ Lot q t MaWng Address 26-- t8 - �ToP1A: fLizK�✓/►'P" Zip 1 1358 Date Permit Issued Separate_Sewerage'System�ballt by McG�..r►smowl R®[o.`t`f AI.IC> s PO 'C3ox 1010 (' anteL t�IY Addrea w L F. .�BT't�",oiJ "Tloawc:4t1 Conels of on Septic Tank and — 1 00. Water Supply Palnc Supply From Address Private Supply Drilled by ►.1lVi�arJ %h.m►:l Address 'L�cx 152 t3.osR ST. PuT►.wM yet.ie�f Banding Type its— rIDEnIC�E Has Erosloa Control Been CompletedY -S Nambe of Bedrooms 3 Has Garbage Grinder Been Installed? - Other: Regairemetta I certify that the systems) as listed serving they above pzeauaes were constructed esaenfi'ally as shown on p 4, of the `completed work.( copies ,r;.. of ^which "ara'attachedp and in ;accordance with th'e, standards rules and :requlau&6,'in�accordance;vith ttis,fil ,.plan and the'.permit issued by the Butnam County Department Of He th Oats �� `0'e CarGfisd by P.E. R.A. AdCreis �Gt' S2 t3 Licence No - 2(oOGB Any .person occupyin' premises served by, the above systems) shall p►omptly take such actlon,os may be n"paryao acu a tM cor►actlon "of any: unsanitary conditions rssultiny from "" "such usage Approval-, of, the separate sswe►ai)b system• -shall . 6- 6. 66 ne null and void as,soon as . a pu b.'. unitary sewer becomes �avillabla and the: approvel, of the - D►lvats;vvste► supply shalt become null and -J.. . when a public watp wpDIY e"eomes- wallabN. Such approvals are subject to modifiuttonr�or• than'" when, 'in the'jud'ment of the Corn of. Health,'wc(h�rev�oe /ati /, niodlfieattion or'chm'e hntscesury, ,�Dste �V v, Li .Title .�. p _._.�..._.�- .�_._._.._...., __tea .. ..� ,.........._. �. _...._..... _.._. �.._.__......_.- ... .. -, _�. ,.__..._�:..__ ...... ....� . _. _._..,,. _.�.__ �...._.,..._.....,__ _.._ 0 Building Constructed by �cz�,uTuS �` �crDD��lc� C�3TfZ��'T Location - Street Municipality Building Type �s 15� �oAR � r.-1� �2ooK LAKE Subdivision Name i �aq Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system. serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a. period of two years i=ediately following the date of approval of the :..�v w... - '�eettkficit -fa o°i o.i- street i on - Co:- p-1•ia c f.61 he r.P4aagie. di.s�t r s a I..Sy -.taD. repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of.Environinental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant o i ding utilizing the system. Dated this day of 19� Signature Title Z�4 Z-�Ai-1 7�... General ntract (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk e chC s Corporation hyame (i Corp.) POD o k Address 32.017652 Yorktown Medical Laboratory, Inc. LAB # 321 Kear Street Date Taken: "% -a QI- Time: Yorktown Heights, N. Y: 10598 Date_ R-c' d : 7�ys� -gyp' .. 9i4 74' 203 ..:... -: D'dt*' . -R'e drt ed i AU6. Director: Albert H. Padovani M. T.(ASM Collected By: rnle Referred By: A -­QA . , Sample Location: i7 T Av c4GL 7�. S �'.t'c�JAY Phone # eau. # yc l� 3 � Phone # L A" g Ir 15r/ J Repeat Test? LABORATORY REPORT ON THE QUALITY OF WATER INORGANIC NON- METALS (mg /L) MICROBIOLOGICAL (CFU /100mL) Acidity Alkalinity _ Chloride Detergents, MBAS Hardness, Total Nitrogen, Ammonia Nitrogen, Nitrate _ Phosphate, Total _ Sulfate _ Sulfide Sulfite METALS (mg /L) Copper _ Iron _ Lead Manganese Mercury Sodium Zinc MISCELLANEOUS pH (units) _ Color (units) _ Odor (TON) Turbidity (NTU) GENERAL BACTERIA _/Standard Plate Count 150 (CFU /1.OmL) MEMBRANE FILTRATION TECHNIQUE Total Coliform Fecal Coliform Fecal Streptococcus MOST PROBABLE NUMBER TECHNIQUE Total Coliform Index Fecal Coliform Index KEY FOR TERMINOLOGY CFU = Colony Forming Units N/A = Not Applicable LT = Less Than (<) GT = Greater Than (>) TNTC= Too Numerous To Count CON = Confluent ( =TNTC) NR = Non - reactive 150 L Sample Type: (check one) Potable Non- potable STP INF STP EFF Other: Sample Status (check each) Outgoing — HNO3 _ HC1 H2SO4 NaOH ZnOAc Na2S203 Other: Incoming REMARKS /COMMENTS (For Lab Use) IELAP #10323 THESE RESULTS INDICATE THAT THE WATER SAMPLE (WAS) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO T N YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECaDKING THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID) (DIDN'T) (N/A MEET THE SATISFACTORY CHEMICAL QUALITY STANDARDS OF THE NEW YORK STA WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. x (_ 2 /86(Rvsd7 /87)RWE Albert H. Padovani. M.T. (ASCP). Director k °C _ALE GT k °C _ _ pH LE 2 _ pH GE 9 _ pH GE 12 Other: REMARKS /COMMENTS (For Lab Use) IELAP #10323 THESE RESULTS INDICATE THAT THE WATER SAMPLE (WAS) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO T N YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECaDKING THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID) (DIDN'T) (N/A MEET THE SATISFACTORY CHEMICAL QUALITY STANDARDS OF THE NEW YORK STA WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. x (_ 2 /86(Rvsd7 /87)RWE Albert H. Padovani. M.T. (ASCP). Director ca8hin associates, p'C. design professionals route 52 carmel, ew Yo 'k 10 512 (914) 225-8088 ATTENTION 91111A,il 11711 "R Ali VVE ARE SENDING YOU WAttached [I Under separate cover via the following items: O Shop drawings Prints Plano OSamp|ea O Specifications 0 Copy of letter 0 Change order 0 COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED ma checked below: For approval O Approved ansubmitted O Resubmit __--_copies for approval O For your use O Approved onnoted O8ubmit_--_-copies for distribution OAa requested O Returned for corrections O Return_----- corrected prints REMARKS COPY TO: ORor review and comment O • FOR BIDS DUE 19 - 0 PRINTS RETURNED AFTER LOAN TO US SIGNED: It enclosures are not as noted, kindly notify us at once. /ADO ; / TACT TTTATT WL'LL UtJrlr.Uz11VIN Axlrvi"i O Office Use Only l/ MARVIN O'DELL Inspector A - TOWN ;4!1! PLITNAM VALLEY, N.Y. (914) 526 2377 - TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT i i October 18, 1989 1 I Mrs. Angela Infantino ". 26 -18 Utopia Parkway R Bayside, N.Y. 11358 Re: Water Well Construction 1, Arbutus & Pudding St. TM #15 -5 -11 Dear Mrs. Infantino: It has been brought to the attention of this office -that-the-water well on your lot is improperly constructed, in that the casing is not extended' properly above adjacent grade. This condition if allowed.to remain could allow contamination of your f water supply. Further �be- advised, -' that other well's drilled by you and not used must be properly, abandoned in accordance with methods approved by the Putnam County Department of Environmental Health for abandoning a water well. Please be advised, it is necessary that the above be properly corrected before a Certificate of Occupancy will be issued for.this home. Very truly yours, 4, k MARVIN 0 DE Building & oning Inspectorf; MO' D : e s ,` f cc: Putnam County Health Dept. r.- f - :�Tm!'n.a^•X. — . —s... ._-'.- w. ..,..r...,q ra..... -- ... -:�.o� - -. .. .ii•s w ..-. �..i �--. PETER C. ALEXANDERSON County Executive �lnn"4� JOHN SIMMONS, M.D. Deputy Commissioner DEPARTMENT' OF'. HEALTH JOHN KARELL, Jr., P.E. Director Division Of Environmental Health Services _- i 110 Old Route Six Center, °Carmel, _New. York 10512 (914) 225 -0310 Registered Mail Return Receipt Requested December 9, 1987 Mr. Infantino 26 -18 Utopia Parkway Bayside, New York 11706 Dear Mr. Infantino: Nicholas November property right of RE: Construction Permit •#PV -17 -86 SSDSIWell Infantino - Arbutus & Pudding Streets- Roaring Brook Lake (T) Putnam Valley rt•men - i.s - {-n - r-e -celpt - ctf-•--a_'copy `o. a sur- v�Y - -b Y- - Chapis for the above captioned property dated 16, 1987 which indicates that the well serving the has been installed off the property in the road way. You are-hereby advised that such location is not in accordance with plans approved by the Department on March 5, 1986 and that based upon such location a certificate of construction compliance as required by the Putnam County Sanitary Code cannot be issued. It is expected: that the well will be redrilled in the approved location. If you have any questions contact the writer at Ext. 304. V� ru y u s, oh Ka ell, r., E. Director, Environmental Health Services JK:pt cc: R Eile Bldg Inspector ` 4 MARVIN O'DELL ' Inspector _ TOWN- .HALL-- PUTNAM VALLEY, N.Y.; (914) 526 2377 TOWN OF PUTNAM VALLEY. BUILDING, ZONING, AND SANITARY DEPARTMENT December 4, 1987 Angela Infantino 26 -18 Utopia Parkway Bayside, N.Y. 11358 Re: Well Location - Lot #164 RBL - TM #15 -5 -11 Dear Mrs. Infantino:. A review of the As -Built Survey dated November 16, 1987 by Nicholas G. Chapis, Land Surveyor, reveals the recently constructed water well; is - -not within your property: Please be advised, this must be corrected to comply before a Certificate of Occupancy can be issued on this property. I further.note, records of this Department indicate this. location was questioned' at__tfie"fime 'of construction by' the Highway Superintendant, Paul Kastuk and myself and were assured same to be within your lot. Please promptly advise this office of your intentions towards resolving above, which must receive approval of the Putnam County Environmental Health Department. Very truly yours, µ....ms,....-- - MARVIN OTELV Building Inspector MOT: es cc: John Karell, Putnam County Health Dept. Highway Dept. Sallie Sypher, Supervisor Wt -WT US DOCUP,T`ITS House plans 0. K. nMTTT7w MR-Y".x RY , -T D,--sign data sheet Peres presoaked? Kiln. 30" perc test depth Const. results for 3 runs D. Hole log O.K. Corporate Affidavit for other than indivi Authorization for engineer Letter from Water Supply.if applicable If variance requested -such noted on plans IMoets Std.[ Romarks Yes No apps:; DETAILS ` if change*is proposed,) Existing contours shown show new contours) Slopes for driveway cuts, etc. shown Xater service line location Footing drain_, etc. location Top slope, bottom slope of fill Percolation tests and deep test pit location Septic. tank size and conformance to std. .3. R. R. house- minimum_ _ House setback shown Distribution box ftg. below frost All water within 50 ft. of PL shown awl ow'd, NEV Imo► "M Plan-and.-profile SDS A11 btfier wells and SDS closer 200' . shown* or reference made Property boundaries (metes and bounds- clearly sha ZEPAFMION DISTANCES SPECIFIED ON PLAN 10' to P.L.. ?0" t o Foluzdat i on walls )0' to Nearest well 50' to stream, march, lake, etc. incl . expansion l5' to Curtain drain '_0' to water line (pits -20 to storm drain ...to large trees VA :0' 1'rorl i•o1111dation to septic tank i \T .5' to .pipe Prot» leader circin &.foo Ling drain .. , gOAOT(ly F SLOPF_ oo Flu- Ago . a ©o •R - � tP�ca4 �-�o�; 4-CmEcveb� sub.I Ivt S o1i F09P LOT - A1 (9r- -- SN Q WI V ._ .... ao,. ls� to i iD/ PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Registered Mail Return Receipt Requested December 9, 1987 Mr. Inf antino 26 -18 Utopia Parkway Bayside, New York 11706 R£: Construction Permit *PV -17 -86 SSDS /Well Infantino Arbutus & Pudding Streets Roarin g -- Brook - Lake _ . -.. (T) Putnam Valley Dear Mr. Infantino: JOHN SIMMONS, M.D. Deputy Commissioner JOHN. KARELL, Jr., P.E. Director The-Department is in receipt of- a ;copy of. a survey..-by' .,_..... _,._= . -•- •_ -'Nc}ioias` "Chapi's for `the`- a2iove aap�oned'proper£y dated ` -� -' "��- `- _... °'� "` -� -° _� November 16, 1987 which indicates that the well serving the property has been installed off the property in the road right of way. You are hereby advised that such location is not in accordance with plans approved by the Department on March 5, 1986 and that based upon such location a certificate of construction compliance as required by the Putnam County Sanitary Code cannot be issued. It is expected that the well will be redrilled in the. approved location. If you have any questions contact the writer at Ext. 304. V ru ,y u s, ch Ka ell, r.,. .E. Director, Environmental Health Services JK:pt cc: tJK Bl�d9� Inspector Casin Assoc. II_ i FL'•�.L SITM MSPECTION Date /► L ' Ins_ect�d j0_nTICN �� y 1"' °� �V/.% !1� v €� P�CWT]E .4Jf4el., /✓ " -- V /q 'rI b 24 A OR S'UEDITIISICN LUr r _ . - ,SEV�?GE DISPC.S L AREA a. SDS are= lccated as per apuroved. mans b." F-ill sacticn - Date of place-aent 2:1 bar_ _e-r LGTH W i D ,fT�H A-VG. DPTH I c'. soil not stripcEd d. Stcne, br. sh, etc., greater than 15' fran SOS area. e. 100 ft. fz= water coon= we`? arcs Al I S�v�C^. DISrCS ?L S�STErl a. .:St_,Lc t.=nk size 1,0 1,250 ( I b. Sect4c ter{ ins_ =1 ed level I I C. 10' Ini-I :z:-n f_cm foundation I I I . NG 90' berds, cleancut within 10 ft. cf 4-53 Ee*,.d ( I e. DISTRI-E-L,TICN BOX 1. P1' cutlets a. sane eIE�T tier - 4.cter tes'�ea I I 2. Prcta� d re?cw frost I I I 3. r n. =rt 2 ft. crici nal soil be Keen bcx and trenches I I f. JLZCI'TCN BOX - urccerly set I I c. ` F_T-�C= l. r L =r c =" r-t:? r- 3 i L�-� i^�11e2 I I I 2. D1s — :ce to wat_rccursa me_^ st ft. I I I 3. Zr_ =t=? led' ac=rdinc to plan. I I 4 D?s -=nce center to center I I I 5 Slcce cf T " / =iCt- n 3, l 6. 10 '__= f_art nrccerty lire - 20 f =t - fti dat?crs 0 ve _ D ?_= cf t_=_n_G1 < 30 inches f=ul s=fac°_ ( I I 8. Rca ailawea for e =sicr•, 50% 9.. Size cf crave 3/4 - 1=" di = zi - =r I I 10. D✓p`_ cf gravel in trench 12" m? nLqa a ll . P? La Er1C S G..pced I I I h. PT-T CR EC EE SLISTE S G'1cI[tDe' =• 3. P1cL-1, vi sn:al /audio a. Puma e+sily accessible mancele to arade 5. Firs:. box baf =? ed 6. Cycle witnessed by Health Dena -rtmmt esthmated flew r cycle EOUSF, ' a. Ecuse lccated per approved plans. b. Ntm±_er cf bedroans W-FIL a. well lccted . as r approved plans b. Distance fran SDS area measured / Z71 Yft_ j c. Casina 18" above grade. d. 'Surface drainage around well acceptable_ OVERALL FiORENg�SHIP a. '. Boxes rope -rlv grouted I b. All pipes ially backfilled c. All pipes flush with inside of box d. Rackfill material contains stcnes < V in diaweter e. C-ir.ain drain installed according to plan f. Cur airf drain cutfall protected & dir.to exist watercourse a. Fcot— zc drains discharge awav free SDS arEr h. Surface water protection aCG'Tt?aA - , i . Faros? cn control 1-provided .on slocES great--- than Al -.+r •PUPNAM COUNTY DEPARnMU OF HEALTH - DIVISION OF ENVnMMUAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET - CONSTRUCTION.PERMIT _��3 1gtiT11�10 *-ru: OTOS BY: (Name of Owner) (Street Location) COMMENTS YES NO DOCUMENTS RTED _q_ 4 ,i Permit Application,g�r' Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) O Q- Deep Hole Log YOU Consistent Perc .Results (3 ) -- 30" Perc Hole i Other .✓ House Plans - Two sets �. l SET If PWS - Letter ,vp Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan ,i Sewage System Hydraulic Pro _ Gravity Flow Fill Profile & ufiension� Volume D or J Box;Tren�chJGaIIerY: PAP pit details Age 0 At. i Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area Expansion -Area; shown; gravity- fio_w,suff, size._ `Pit & D 112kw Shcavn &Detailed. _ r _w...._- •. - -. House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds M q House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) �-- 15' to Drains- Curtain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' fran Foundation 50' to Well 15' Well to PL GENERAL i Legal Subdivision ,i Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Pt -eA�eF _,;EmD )3 u-J 'PERA IT f Data On DDS Plans & Permit Same ®c.o oNE ARID /19 FIEM CJ1E(J1: I; fST. C L� Date: hqp- A INITTAL S:I`I E II.1 "TECTIT11 Y Yes No Comments Property lines or corner3 found . . . . . . . . . V V _ Can estiinatc house location . . . . . . . . Will driveway need cut . . . . . . . . ... . ^ Must trees be mmoved -note these - Is deep hole representative of entire SIDS area Additional deep holes nee - ed. . . . . . . . . . Sufficient SDS area available considering driveway cut, house location, sepa ration distances, etc. DEEP HOLE DATA 1D7aPcr • elevation: /;t , 3 4 Rock elevation:. /,)a7uf, - Soils description ;SR&.W' p h-&A Date: ��77 7� ��-rr FINTnL SITE ri� SPI:,C �.r- Insp. LAY: House located uhere sh-m-rn on 'approved plan ~ . SDS located iw'113re approved . . . . . . . . . ___ -- .en th of ty enc h mea s urea Width of trench aver ge Slope of tile line and trench.acceptable _ Room allo'Wo' d Po'r expansion- trenclhes Over 50 ft. from s, amD watercourse Fatural soil r_ot.stripped or SIDS area lumccessarily graded ... _ 10 rt. maintained from prop.line and 20 ft. from house . . . . . . . . . _ S spa ration of trench from house, well -- etc . follows plan Number of bedrooms chocks . . . . . . . . . Stones, brush, - stuamps, rubble, etc. greater than 15 ft. from nearest trench . . . . . . 15 Ft. of peripheral soil horizontally from trench ... Junci:ion boxes properly set Could surface run off from driveway, roads, • ground surface, etc. charmel near SDS . area ... -- Does lot dr. airnEte at���o �r 0. K. in area of SDS FINAL GRADING OF SITE ACCEPTABLE PUTNAM COUNTY DEPARTMENT OF HEALTH -,_ DIVISION.OF ENVIRONMENTAL HEALTH SERVICES " •. �B •_sue y..,�,.,:- ...W._isr...s-- ..a�.. .+'>.+x:}a¢'.:s�e..._T'a. -. O ...srn �-.`e Date L= Re Property ofjL� ,6ZEdAj'7 A10 V U7�► Located at- A iz 43C7i'uS .A Section is Block Lot J Gentlemen: -� N of -P�TNA.NA \1AL -L E This letter is to authorize a duly licensed professional engineer. V or registered architect (Indicate) to apply for a Construction Permit for a_ separate sewage system; to serve the above noted p:roperty.in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of .Health, and to sign all necessary papers on .my behalf in. VU1Mt:f : L.LU11 w.1 Lfi Liiis ma L let• aihi to. Supervise tiio Construe ciUfl oT saiCl- t . system or systems in conformity with the provisions of Article 145 "or 147, Education Law, the Public Health . Law, and "the Putnam County Sani' _ tary. Code . _ c y < °r Very. truly yours, _ Signed + Owner 6f Property Countersigned :`";� P A zb°`` fU Address -- nIQ - Telephone << Address . A Telephone DESIGN DATA - SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner TN =(AN -7\'NU Address 26 -I�( - Uiorz1/(� 1. Located at ( Street ARguTx, i- Pur)DiN& S *Sec Block 5— Lot / I �indlcate nearest cross street) Municipality PU-FN R M U (+L L r `( Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS o e Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Water Lpvel No. Time From Ground Surface in Inches. Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 21a- II'o2 2.C� 23 s- -� 3 )Ii02 -11-2 �2 22 Y2 4 l) 11 : yh .2- ,..._.... _ - ..._..._. T1%4:7 4II -Sb` -17 2-7 l�,,z 21y2 5 1 2 3 .. , n Notes: 1) Tests to be repeated at same.depth until.'approximatel'yy equal soil rates are obtained at .each percolation test, hole. All datg to be submitted for review... 2) Depth measurements to be made from top of hole. V) 7211 84" .4 w INDICATE LEVEL.ATWHICH GROUND WATER.IS ENCOUNTERED INDICIATE... W'VFL.,70. WHICH WATER LEVEL RISES AFTER BEING ENCQUNTE TESTS .:MADE -,BY'- Date Mal Vll'Dropr No. of Bedrooms Septic ..Tank: Capacity 3 Absorptlqn Area: Provided By L - F.,x24 Addres u TEST PIT DATA REQUIRED TO: BE SUBMITTED, WITH APPLICATION-,�,*, DESCRIPTION., 80I1, rs 14C OUNTEPED t-N TEST HOLE8 DEPTH HOLE NO. 0. HOLE NO HOLE NO G.L it q 6 if 8 777 T 3p T 36 rl 4211 4$11 Q 5411 60 66 V) 7211 84" .4 w INDICATE LEVEL.ATWHICH GROUND WATER.IS ENCOUNTERED INDICIATE... W'VFL.,70. WHICH WATER LEVEL RISES AFTER BEING ENCQUNTE TESTS .:MADE -,BY'- Date Mal Vll'Dropr No. of Bedrooms Septic ..Tank: Capacity 3 Absorptlqn Area: Provided By L - F.,x24 Addres u CASHIN ASSOCIATES, P.C. HUDSON VALLEY DIVISION _.._ _ ;., -.. ,4rcf11t ®cts • Engineers � Suiveyars -'"° _. � - ..�.. ��.;._; -._ �;.. >r . 37 Fair Street, Carmel, New York 10512 (914) 225 -8088 March 25, 1985 Mr. J. Hodgens Putnam County Department of Health Putnam County Office Building Carmel, New York 10512 Re: Infantino SSDS Design Dear Mr. Hodgens: CABLE: CASHASSOC MINEOLANEWYORKSTATE Please find enclosed three (3) copies of the revised plans for the Infantino Septic System Design. It should be noted that the _front property corners and a cross cut along the property line are 150' back fro m.the front property corner have.been field staked so as.to aid in your review;of the.septic.system :design. If you have any questions or comments please contact meat your earlies.t.con venience �..- Very truly yours, CASHIN ASSOCIATES, P.C. ��e_ Richard 0. Dameron ROD /gj c Enclosures 4043.154. (914) 225-8088 .011 - eCASHIN ASSOCIATES, P.C. HUDSON VALLEY DIVISION, Architects • Engineers • Surveyors 37 Fair Street, Carmel, New York 10512 February 21 1986 Mr. James Hodgens Putnam County Department of Health Putnam County Office Building Carmel, N.Y. 10512 RE: Infantino Septic System Dear Mr. Hogdens, CABLE: CASHASSOC MINEOLANEWYORKSTATE Please find enclosed three copies of the above referenced project. Would you kindly see that this item is reviewed as it has been pending for sometime. If you have any questions or comments please contact me at your earliest conveinence. Very -Truly yours, CASHIN'ASSOCIATES, P.C. Richard-'O. Dameron Enclosure ROD/mth L'U'11V Uvi UJUMV M LJZrIAtCIMMYl' Vi' rMeW1L1 INDIVIDUAL WATER SUPPLY SUBSURFACE SEDGE DISPOSAL SYSTEMS IA- FIELD INSPECTION REPORT DA'L'E:` PJ INSP. BY: INITIAL SITE INSPEC'T'ION Property lines or corners found ................... Can estimate house location ....................... Will driveway need cut ............................ Must trees be removed - note these ................ Deep hole representative of entire SDS area....... j 0113 PRSUI Additional deep holes needed...................... ll Sufficient SDS area available considering driveway cut, house location, separation distances,etc..,. Adjacent wells/ septics ............................ D. H. 1 Lot Depth to G. W. Depth to rock ail Descript 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. D.H. -Deep Hole G.W.- Groundwater D.H. 2 Lot D.H. 3 Lot Depth to G.W. I IT Z s Depth to G. W. Depth to rock Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. Soil llesc I 1 0 ft. 3 ft. 6 ft. 9 - ft. - 12 ft. Soil Description DA.TE:. ^ FINAL SITE INSPECTION INSP.BY: YES NO CQMM NTS _. House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Roan allowed for expansion trenches .............. Over 100 ft. from swamp, watercourse ............. Natural soil not stripped or SDS area unnecessarly graded ............................ 10 ft. maintained fran property line and 20 ft. fran house .............................. Distance well to SSDS (ft.)....... .......... Number of bedrooms checks ............. ....... Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ 15 ft. of peripheral soil horizontally from trench ..... ............................... Boxes properly set ............................... Could surface runoff from driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG-OF SITE ACCEPTABLE ................. rev /9/85 mk ' tai Lo 41